Provider Demographics
NPI:1154641181
Name:HARRIS, ARNOLD (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:
Last Name:HARRIS
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12535 MONTEREY CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-7053
Mailing Address - Country:US
Mailing Address - Phone:240-419-4659
Mailing Address - Fax:
Practice Address - Street 1:12535 MONTEREY CIR
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-7053
Practice Address - Country:US
Practice Address - Phone:240-419-4659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN192321041C0700X
MD214951041C0700X
IL149.0145561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical